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July 29, 2009
Viewer Comment:
I would disagree with tarsal sinus syndrome. Looks like a fracture through the anterior process of the calcaneus on the MR images provided.
Response from author:
We discussed the edema in the anterior process, but thought it secondary to sinus tarsitis.
We did not believe there was conclusive evidence for a fracture in the adjacent calcaneous.
One other thing, the exam was done for chronic pain, not the result of an acute incident to rule out fracture
(although a stress fracture without cortical break may look like this).
Daniel Ginat, MD
Mark J. Adams, MD, MBA, FACR
Disclaimer: The individual author occasionally may respond to an individual case submission to Case in Point.
The author's opinions of an individual case submission are his/her own and should not be regarded as
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